<html>
    <title>Susudo.com</title>
    <style type="text/css">
        body{
            background: url("img/bg.gif") repeat-x;
            font-size:14px;
            margin:0px;
            font-family: Candara;
        }
        #header{
            height: 131px;
            padding-top: 21px;
            padding-left: 30px;
            line-height: 100px;
            boader:10px;
        }
        #content{
            height:567px;
            padding: 50px,20px,20px,20px;
        }
        #left_content{
            float: left;
            padding-top: 150px;
            padding-left: 40px;

        }
        #right_content{
            float: right;
            padding-right: 150px;

        }
        #right_content_top{
            font-size:40px;
            color: #806758;
            padding-left:0px;
        }
        #right_content_bottom{
            color: #803A08;
            font-size:20px;
            padding-left:25px;
        }


        #right_content .form_input{
            background:#F4EEEE;
            border:1px solid #ccc;
        }
        #footer{
            padding: 5px;
            height: 50px;
            line-height: 40px;
        }
        #footer_left{
            float: left;
            padding-left: 30px;
            color: #DE6209;
        }
        #footer_right{
            float: right;
            padding-right: 30px;
        }
        .clear{
            float:none;
            clear:both;
        }
        .nocolor{
            text-decoration:none;
            color: #DE6209;
        }

    </style>
    <body>
        <div id="header">
            <div id="logo">
                <img src="img/logo.gif" >
            </div>
        </div>
        <div id="content">
            <div id="left_content">
                <img src="img/sample_logo.gif" >
            </div>
            <div id="right_content">
                <div id="right_content_top">
                    <p>Please enter your information below</p>
                </div>
                <div id="right_content_bottom">
                    <form method="post" action="">
                        <label class="form_label">First Name:</label>
                        <input class="form_input" type="text" name="first_name" value="" />
                        <br/>
                        <label class="form_label">Mid Name:</label>
                        <input class="form_input" type="text" name="mid_name" value="" />
                        <br/>
                        <label class="form_label">Last Name:</label>
                        <input class="form_input" type="text" name="last_name" value="" />
                        <br/>
                        <label class="form_label">Susudo Username:</label>
                        <input class="form_input" type="text" name="username" value="" />
                        <label class="form_label"></label>
                        <input class="form_input" type="submit" name="check" value="check" /><br/> 
                        <label class="form_label">Password:</label>
                        <input class="form_input" type="password" name="password" value="" /><br/>
                        <label class="form_label">Confirm Password :</label>
                        <input class="form_input" type="password" name="password" value="" /><br/>
                        <label class="form_label">Email:</label>
                        <input class="form_input" type="text" name="email" value="" /><br/>
                        <label class="form_label">Gender:</label>
                        <select title="Gender" class="" id="gender" name="gender">
                            <option value="" selected="selected">- Select One -</option>
                            <option title="m" value="m">Male</option>
                            <option title="f" value="f">Female</option>
                        </select> <br/>

                        <label class="form_label">Date of Birth:</label>
                        <!--<input class="form_input" type="text" name="dob" value="" /><br/>-->

                        <select title="- Select Month -" name="mm" id="mm" class="">
                            <option value="" selected="selected">- Select Month -</option>
                            <option value="1">January</option>
                            <option value="2">February</option>
                            <option value="3">March</option>
                            <option value="4">April</option>
                            <option value="5">May</option>
                            <option value="6">June</option>
                            <option value="7">July</option>
                            <option value="8">August</option>
                            <option value="9">September</option>
                            <option value="10">October</option>
                            <option value="11">November</option>
                            <option value="12">December</option>
                        </select>
                        <input title="Day" name="dd" id="dd" value="Day" size="" maxlength="" autocomplete="off" type="text">
                        <input title="Year" name="yyyy" id="yyyy" value="Year" size="" maxlength="" autocomplete="off" type="text">
                        <br/>
                        <label class="label" for="country">Country</label>
                        <select class="" id="country" name="country">
                            <option value="">Select One</option>
                            <option value="af">Afghanistan</option>
                            <option value="ax">Aland Islands</option>
                            <option value="al">Albania</option>
                            <option value="dz">Algeria</option>
                            <option value="as">American Samoa</option>
                            <option value="ad">Andorra</option>
                            <option value="ao">Angola</option>
                            <option value="ai">Anguilla</option>
                            <option value="aq">Antarctica</option>
                            <option value="ag">Antigua and Barbuda</option>
                            <option value="ar">Argentina</option>
                            <option value="am">Armenia</option>
                            <option value="aw">Aruba</option>
                            <option value="au">Australia</option>
                            <option value="at">Austria</option>
                            <option value="az">Azerbaijan</option>
                            <option value="bs">Bahamas</option>
                            <option value="bh">Bahrain</option>
                            <option value="bd">Bangladesh</option>
                            <option value="bb">Barbados</option>
                            <option value="by">Belarus</option>
                            <option value="be">Belgium</option>
                            <option value="bz">Belize</option>
                            <option value="bj">Benin</option>
                            <option value="bm">Bermuda</option>
                            <option value="bt">Bhutan</option>
                            <option value="bo">Bolivia</option>
                            <option value="ba">Bosnia and Herzegovina</option>
                            <option value="bw">Botswana</option>
                            <option value="bv">Bouvet Island</option>
                            <option value="br">Brazil</option>
                            <option value="io">British Indian Ocean Territory</option>
                            <option value="vg">British Virgin Islands</option><option value="bn">Brunei</option><option value="bg">Bulgaria</option><option value="bf">Burkina Faso</option><option value="bi">Burundi</option><option value="kh">Cambodia</option><option value="cm">Cameroon</option><option value="ca">Canada</option><option value="cv">Cape Verde</option><option value="ky">Cayman Islands</option><option value="cf">Central African Republic</option><option value="td">Chad</option><option value="cl">Chile</option><option value="cn">China</option><option value="cx">Christmas Island</option><option value="cc">Cocos (Keeling) Islands</option><option value="co">Colombia</option><option value="km">Comoros</option><option value="cg">Congo</option><option value="ck">Cook Islands</option><option value="cr">Costa Rica</option><option value="hr">Croatia</option><option value="cu">Cuba</option><option value="cy">Cyprus</option><option value="cz">Czech Republic</option><option value="cd">Democratic Republic of Congo</option><option value="dk">Denmark</option><option value="xx">Disputed Territory</option><option value="dj">Djibouti</option><option value="dm">Dominica</option><option value="do">Dominican Republic</option><option value="tl">East Timor</option><option value="ec">Ecuador</option><option value="eg">Egypt</option><option value="sv">El Salvador</option><option value="gq">Equatorial Guinea</option><option value="er">Eritrea</option><option value="ee">Estonia</option><option value="et">Ethiopia</option><option value="fk">Falkland Islands</option><option value="fo">Faroe Islands</option><option value="fm">Federated States of Micronesia</option><option value="fj">Fiji</option><option value="fi">Finland</option><option value="fr">France</option><option value="gf">French Guyana</option><option value="pf">French Polynesia</option><option value="tf">French Southern Territories</option><option value="ga">Gabon</option><option value="gm">Gambia</option><option value="ge">Georgia</option><option value="de">Germany</option><option value="gh">Ghana</option><option value="gi">Gibraltar</option><option value="gr">Greece</option><option value="gl">Greenland</option><option value="gd">Grenada</option><option value="gp">Guadeloupe</option><option value="gu">Guam</option><option value="gt">Guatemala</option><option value="gn">Guinea</option><option value="gw">Guinea-Bissau</option><option value="gy">Guyana</option><option value="ht">Haiti</option><option value="hm">Heard Island and Mcdonald Islands</option><option value="hn">Honduras</option><option value="hk">Hong Kong</option><option value="hu">Hungary</option><option value="is">Iceland</option><option value="in">India</option><option value="id">Indonesia</option><option value="ir">Iran</option><option value="iq">Iraq</option><option value="xe">Iraq-Saudi Arabia Neutral Zone</option><option value="ie">Ireland</option><option value="il">Israel</option><option value="it">Italy</option><option value="ci">Ivory Coast</option><option value="jm">Jamaica</option><option value="jp">Japan</option><option value="jo">Jordan</option><option value="kz">Kazakhstan</option><option value="ke">Kenya</option><option value="ki">Kiribati</option><option value="kw">Kuwait</option><option value="kg">Kyrgyzstan</option><option value="la">Laos</option><option value="lv">Latvia</option><option value="lb">Lebanon</option><option value="ls">Lesotho</option><option value="lr">Liberia</option><option value="ly">Libya</option><option value="li">Liechtenstein</option><option value="lt">Lithuania</option><option value="lu">Luxembourg</option><option value="mo">Macau</option><option value="mk">Macedonia</option><option value="mg">Madagascar</option><option value="mw">Malawi</option><option value="my">Malaysia</option><option value="mv">Maldives</option><option value="ml">Mali</option><option value="mt">Malta</option><option value="mh">Marshall Islands</option><option value="mq">Martinique</option><option value="mr">Mauritania</option><option value="mu">Mauritius</option><option value="yt">Mayotte</option><option value="mx">Mexico</option><option value="md">Moldova</option><option value="mc">Monaco</option><option value="mn">Mongolia</option><option value="me">Montenegro</option><option value="ms">Montserrat</option><option value="ma">Morocco</option><option value="mz">Mozambique</option><option value="mm">Myanmar</option><option value="na">Namibia</option><option value="nr">Nauru</option><option selected="selected" value="np">Nepal</option><option value="an">Netherlands Antilles</option><option value="nl">Netherlands</option><option value="nc">New Caledonia</option><option value="nz">New Zealand</option><option value="ni">Nicaragua</option><option value="ne">Niger</option><option value="ng">Nigeria</option><option value="nu">Niue</option><option value="nf">Norfolk Island</option><option value="kp">North Korea</option><option value="mp">Northern Mariana Islands</option><option value="no">Norway</option><option value="om">Oman</option><option value="pk">Pakistan</option><option value="pw">Palau</option><option value="ps">Palestinian Territories</option><option value="pa">Panama</option><option value="pg">Papua New Guinea</option><option value="py">Paraguay</option><option value="pe">Peru</option><option value="ph">Philippines</option><option value="pn">Pitcairn Islands</option><option value="pl">Poland</option><option value="pt">Portugal</option><option value="pr">Puerto Rico</option><option value="qa">Qatar</option><option value="re">Reunion</option><option value="ro">Romania</option><option value="ru">Russia</option><option value="rw">Rwanda</option><option value="sh">Saint Helena and Dependencies</option><option value="kn">Saint Kitts and Nevis</option><option value="lc">Saint Lucia</option><option value="pm">Saint Pierre and Miquelon</option><option value="vc">Saint Vincent and the Grenadines</option><option value="ws">Samoa</option><option value="sm">San Marino</option><option value="st">Sao Tome and Principe</option><option value="sa">Saudi Arabia</option><option value="sn">Senegal</option><option value="rs">Serbia</option><option value="sc">Seychelles</option><option value="sl">Sierra Leone</option><option value="sg">Singapore</option><option value="sk">Slovakia</option><option value="si">Slovenia</option><option value="sb">Solomon Islands</option><option value="so">Somalia</option><option value="za">South Africa</option><option value="gs">South Georgia and South Sandwich Islands</option><option value="kr">South Korea</option><option value="es">Spain</option><option value="pi">Spratly Islands</option><option value="lk">Sri Lanka</option><option value="sd">Sudan</option><option value="sr">Suriname</option><option value="sj">Svalbard and Jan Mayen</option><option value="sz">Swaziland</option><option value="se">Sweden</option><option value="ch">Switzerland</option><option value="sy">Syria</option><option value="tw">Taiwan</option><option value="tj">Tajikistan</option><option value="tz">Tanzania</option><option value="th">Thailand</option><option value="tg">Togo</option><option value="tk">Tokelau</option><option value="to">Tonga</option><option value="tt">Trinidad and Tobago</option><option value="tn">Tunisia</option><option value="tr">Turkey</option><option value="tm">Turkmenistan</option><option value="tc">Turks And Caicos Islands</option><option value="tv">Tuvalu</option><option value="vi">US Virgin Islands</option><option value="ug">Uganda</option><option value="ua">Ukraine</option><option value="ae">United Arab Emirates</option><option value="uk">United Kingdom</option><option value="um">United States Minor Outlying Islands</option><option value="us">United States</option><option value="uy">Uruguay</option><option value="uz">Uzbekistan</option><option value="vu">Vanuatu</option><option value="va">Vatican City</option><option value="ve">Venezuela</option><option value="vn">Vietnam</option><option value="wf">Wallis and Futuna</option><option value="eh">Western Sahara</option><option value="ye">Yemen</option><option value="zm">Zambia</option>
                            <option value="zw">Zimbabwe</option></select>
                        <br/>

                        <label class="form_label">College/Work:</label>
                        <input class="form_input" type="text" name="colz_work" value="" /><br/>
                        <label class="form_label">Website:</label>
                        <input class="form_input" type="text" name="website" value="" /><br/>
                        <label class="form_label">Aggrement:</label>
                        <!--<input class="form_input" type="text" name="aggrement" value="" /><br/>-->
                        <p> By clicking the “Submit” button below,
                        I certify that I have read and agree to the Susudo Terms of Service,
                        Susudo Privacy Policy and Communication Terms of Service,
                        and to receive account related communications from susudo! electronically.
                        susudo! automatically identifies items such as words, links, people, and
                        subjects from your susudo! communications services
                        to deliver product features and relevant advertising.</p> <br/>
                        <label class="form_label"></label>
                        <input class="form_input" type="submit" name="submit" value="submit" /><br/>
                    </form>
                </div>
            </div>
        </div>
        <div id="footer">
            <div id="footer_left">
                &copy; <?php echo date("Y");?> All rights reserved by <a href="" class="nocolor">Susudo.com</a> | Powered by <a href="http://www.semicolondev.com" class="nocolor">semicolondev.com</a>
            </div>
            <div id="footer_right">
                <a href="#" class="nocolor">Forum</a>
                <a href="#" class="nocolor">Chat</a>
                <a href="#" class="nocolor">Message</a>
                <a href="#" class="nocolor">About Us</a>
            </div>
            <div class="clear"> </div>
        </div>

    </body>
</html>